MANAGEMENT OF CHOLELITHIASIS & CHOLEDOCHOLITHIASIS

MANAGEMENT OF CHOLELITHIASIS & CHOLEDOCHOLITHIASIS

Dr.D.Sirish Bharadwaj PGY III, Dept. of General Surgery

DEFINITION

? The presence of gallstones in the gallbladder is called cholelithiasis.

? The presence of gallstones in the common bile duct is called choledocholithiasis

Effects of Gallstones

In the gallbladder:

? Asymptomatic stones ? Biliary colic with periodicity ? Acute cholecystitis ? Chronic cholecystitis ? Empyema gallbladder ? Perforation causing biliary peritonitis or pericholecystitic abscess ? Mucocele of the gallbladder ? Limey gallbladder ? Gallstone ileus leading to small bowel obstruction ? Carcinoma gallbladder

In the common bile duct(CBD):

? Obstructive jaundice ? Cholangitis ? Pancreatitis ? Mirizzi syndrome

Current discussion:

? Chronic cholecystitis ? Acute calculous cholecystitis ? Choledocholothiasis ? Aysmptomatic gallstones

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